Onkologie. 2008:2(2):75-78
Current surgery for head and neck cancer
- ORL oddělení FN Brno Bohunice
Surgery for head and neck cancer is based upon the concept that squamous cell carcinoma of the upper aerodigestive tract originates as a local disease and spreads in an orderly fashion from the primary site to regional lymph nodes and subsequently, to distant metastatic sites. The surgical procedure with the highest theoretical chance for cure is designed to remove en bloc the primary and the regional lymph nodes including the intervening lymphatics. This principle was first applied to breast cancer by Halstead at the turn of the 19th and 20th century and has formed the foundation for cancer surgery for many years.
The first description of surgical procedures involving the lip was writen by Celsius in the first century, but the beginnings of the surgical treatment of tumours of the head and neck date to the period of development of general anaesthesia in the 19th century. Contemporary modern oncosurgery of the head and neck in its present form developed however mainly in the 20th century, in particular after the Second world war.
Keywords: head and neck cancer, surgical treatment, history
Published: August 1, 2008 Show citation
References
- Čoček A, Hahn A, Ambruš M et al. Chirurgická léčba nádorů hlavy a krku - historie a současnost. Prakt lék 2002; 82; 92-95.
- Smilek P, Kostřica R, Mechl Z et al. Maligní nádory hlavy a krku: Praha: Grada, 2002; 17.
- Close LG, Larson DL, Shah JP. Essentials of Head and Neck Oncology: Thieme, 1998; 109-123, 154, 216-222.
- Klozar J, Betka J, Kastner J. Operační léčba orofaryngeálních tumorů přesahujících na hrtan. Otholaryng a Foniat 2001; 50; 3-5.
- Betka J. Příspěvek ke klasifikaci krčních uzlin a blokových disekcí. Otorinolaryngol 1996; 45; 73-77.